There is an ongoing outbreak of dengue in the Autonomous Region of Madeira, Portugal, ... , with some imported cases reported from other EU Member States. Since the beginning of the outbreak, 2 144 cases of dengue infection have been reported from the public health sector in Madeira.The vast majority of confirmed cases are from the city of Funchal, which is the main port on Madeira island. The island of Madeira has an established mosquito population of Aedes aegypti, the main vector of dengue in tropical and subtropical countries.As of 9 January 2013, 74 patients have been diagnosed with dengue after returning from Madeira: 10 in Portugal, 23 in the UK,19 in Germany, three in France, five in Sweden, four in Finland, two in Denmark, two in Austria, and two in Norway. Croatia,Slovenia, Spain and Switzerland have all reported one case each. The latest case was reported on 3 January 2013.No autochthonous cases were reported in other European countries in 2012 and at the start of 2013.

The epidemiological situation does not imply the need for any trade or travel restriction beyond the disinfestation policies currently implemented.

Sources: IASaúde, DGS, ECDC

At this time, CDC does not advise against travel to Madeira. However, travelers should protect themselves from mosquito bites.